CoFlex® TLC Zinc & Calamine

Last updated on 11/10/22 | First published on 12/10/20 | Literature review current through Nov. 2022 [cite]

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Technology and Product Assessment

Product Type: Compression: Compression Bandages

Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients. For information about specific products, please contact the manufacturer directly.

CoFlex TLC Unna Boot Bandages are two-step bandaging systems designed to increase patient's comfort. CLAIMED BENEFITS: Layer 1 is the foam comfort roll, with options of soothing zinc or calamine. Unlike gauze, the foam roll offers more absorbency, creates no indentation or skin breakdown, leaves no residue on skin or mess to clean up, and stays moist and comfortable. Layer 2 is the moisture-resistant cohesive bandage that applies continuous compression to assist with edema and the healing of wounds. INTENDED USE: For patients with an ABI of ≥ 0.8. CoFlex TLC Zinc and TLC Calamine kits are designed to treat patients with multiple wounds or other skin conditions. HCPCS: A6456, A6452

Manufacturer: Milliken & Company

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard

A6456

CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard

A6456

CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard

A6456

CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard

A6456

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Select your state for Medicare
DME coverage and co-payment

Product

Estimated
Out-of-pocket
Cost

Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

Milliken & Company
CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

$.31
per yard

$1.54

1 change/week

Milliken & Company
CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

$.31
per yard

$1.54

1 change/week

Milliken & Company
CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

$.31
per yard

$1.54

1 change/week

Milliken & Company
CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

$.31
per yard

$1.54

1 change/week

* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Product

Estimated
Out-of-pocket
Cost

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Coming soon

CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Coming soon

CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Coming soon

CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

CoFlex TLC Calamine Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CoFlex TLC Zinc Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CoFlex TLC Zinc Standard Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), 2/Bx

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CoFlex TLC Calamine Lite Compression, Layer 1: 4’’ x 6 yds., Layer 2: 4’’ x 7 yds (*), Box of 8 Sets

Hand tear Includes stocking Multilayer system Zinc oxyde impregnated

CPT Code	Description	Physician Reimbursement - Office	Physician Reimbursement - Facility	Facility Reimbursement
29580	Application of paste boot	$65.75	$27.34	$144.29

Based on national averages
Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.

Hover on the information button next to each header for detailed explanation on the type of information provided by the table
The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.

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Other related brands: 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., CoFlex TLC, Layer 1: 4’’ x 3.4 yds., Layer 2: 4’’ x 5.1..., ACE Elastic Bandage with Clips, 1 Each, Profore Lite Multi-Layer Reduced-Compression Bandaging ..., CoFlex TLC Lite, Layer 1: 4’’ x 3.4 yds., Layer 2: 4’’ ..., 3M™ Coban™ Sterile Self-Adherent Wrap, 3 in. x 5 yd./75..., 3M™ Coban™ Sterile Self-Adherent Wrap, 4 in. x 5 yd./10..., Profore WCL, 5 1/2 x 8 (14cm x 20cm), 50pcs/pkg, case ..., Fourflex 4-Layer Compression System, 1 KT (*), 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., SurePress® High Compression Bandage,10cm x 3m (4" x 3.2..., Curity™ Unna Boot Bandage, 3" x 10 yds, 1 ea, McKesson Unna Boot with Calamine, 4 Inch X 10 Yard, Pin..., Curity™ Unna Boot Bandage, 4" x 10 yds, 1 ea, Threeflex 3-Layer Compression System, 1 KT, 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., Profore Multi-Layer High Compression Bandaging System (..., Curity™ Unna Boot Bandage, 4" x 10 yds with Calamine, 1..., Unna-Z Bandage W / Zinc, 3X10Yd, 12/CS, 3M™ Coban™ Sterile Self-Adherent Wrap, 6 in. x 5 yd./15..., Molnlycke Setopress® High Compression Bandage, 10cm x 3..., Curity™ Unna Boot Bandage, 3" x 10 yds with Calamine, 1..., Peha-haft®-Latex-Free Cohesive Conforming Bandages, 1" ..., McKesson Compression Bandaging System, Four-Layer, 4 In..., Unna Boot Zinc Impregnated Gauze, 3” x 10 yds, 12/cs, Curity™ Stretch Bandages,Sterile in Soft Pouch, 1" x 75..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Fourflex 4-Layer Compression System, 8/CS (*), Curity™ Stretch Bandages, Sterile in Soft Pouch,4" x 75..., Profore LF Latex-Free Multi-Layer High Compression Band..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Gelocast 3 in. x 10 yds. (8 cm x 9 m), 1 dressings/box, 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., CoFlex TLC XL, Layer 1: 4’’ x 5.4 yds., Layer 2: 4’’ x ..., Unna-FLEX® Elastic Unna Boot, Each individually package..., Curity™ Stretch Bandages,Sterile in Soft Pouch, 3" x 75..., Unna-FLEX® Elastic Unna Boot, Each individually package..., 3M™ Coban™ 2 Layer Compression System, 2 rolls (8 of ea..., Unna-Z Bandage W / Zinc&Calamine, 4X10Yd, 12/CS, 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Threeflex 3-Layer Compression System, case of 8, VISCOPASTE* PB7 Zinc Paste Bandage, 3 x 10 yd, 12 each/..., Curity™ Stretch Bandages,Sterile in Soft Pouch, 2" x 75..., SurePress® Absorbent Padding, 10cm x 3m (4" x 3.2 yards..., 3M™ Coban™ LF Latex Free Self-Adherent Wrap with Hand T..., Kendall™ Cohesive Bandage, 1" X 5 Yds, 1 Roll/Each, 30 ..., Cellona Synthetic Padding, 10 cm x 3 m (4 in x 3.3 yd),..., Co-Lastic® LF, Tan, Latex-Free Cohesive Elastic Bandage..., LoPress®,Latex-Free Inelastic Compression Bandages, 2.3..., Kendall™ Cohesive Bandage, 3" X 5 Yds, 1 Roll/Each, 24 ..., Cover-Roll® Stretch: 2" X 10 yds, 1 roll/Box,

(*) multicomponent compression system. Each layer has a different HCPCS

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Topic 1576 Version 1.0

CoFlex® TLC Zinc & Calamine

CoFlex® TLC Zinc & Calamine

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